How much rates vary
Facilitymedian $1,202 · 10th to 90th $28 to $3,548Professionalmedian $54 · 10th to 90th $26 to $138
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $28.18 | Facility | None | $16.98 | $16.98 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $28.18 Typical High $107.15 | Professional | None | $16.98 | $28.18 | $107.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $2,754.23 Typical High $4,897.79 | Facility | None | $1,174.90 | $2,754.23 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.44 Median $66.07 Typical High $134.90 | Professional | None | $23.44 | $66.07 | $134.90 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $35.48 Median $97.72 Typical High $199.53 | Professional | 50 · Both sides | $35.48 | $97.72 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $23.99 Median $50.12 Typical High $89.13 | Facility | None | $23.99 | $50.12 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $51.29 Typical High $117.49 | Professional | None | $30.90 | $51.29 | $117.49 |
DeanCare Setting Facility Modifier None Typical Low $20.42 Median $2,630.27 Typical High $5,128.61 | Facility | None | $20.42 | $2,630.27 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $30.20 Median $44.67 Typical High $72.44 | Professional | None | $30.20 | $44.67 | $72.44 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $45.71 Median $66.07 Typical High $107.15 | Professional | 50 · Both sides | $45.71 | $66.07 | $107.15 |
Medica Setting Facility Modifier None Typical Low $47.86 Median $912.01 Typical High $1,778.28 | Facility | None | $47.86 | $912.01 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $38.02 Median $117.49 Typical High $208.93 | Professional | None | $38.02 | $117.49 | $208.93 |
Network Health Setting Facility Modifier None Typical Low $831.76 Median $933.25 Typical High $2,344.23 | Facility | None | $831.76 | $933.25 | $2,344.23 |
Network Health Setting Professional Modifier None Typical Low $35.48 Median $67.61 Typical High $87.10 | Professional | None | $35.48 | $67.61 | $87.10 |
Prevea360 Setting Facility Modifier None Typical Low $17.38 Median $31.62 Typical High $56.23 | Facility | None | $17.38 | $31.62 | $56.23 |
Quartz Setting Professional Modifier None Typical Low $30.90 Median $64.57 Typical High $107.15 | Professional | None | $30.90 | $64.57 | $107.15 |
Quartz Setting Facility Modifier None Typical Low $23.99 Median $31.62 Typical High $50.12 | Facility | None | $23.99 | $31.62 | $50.12 |
Quartz Setting Professional Modifier None Typical Low $30.90 Median $51.29 Typical High $61.66 | Professional | None | $30.90 | $51.29 | $61.66 |
Security Health Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $91.20 | Professional | None | $57.54 | $57.54 | $91.20 |
Security Health Setting Professional Modifier None Typical Low $60.26 Median $123.03 Typical High $190.55 | Professional | None | $60.26 | $123.03 | $190.55 |
The Alliance Setting Professional Modifier None Typical Low $40.74 Median $60.26 Typical High $208.93 | Professional | None | $40.74 | $60.26 | $208.93 |
United Setting Facility Modifier None Typical Low $218.78 Median $1,148.15 Typical High $1,862.09 | Facility | None | $218.78 | $1,148.15 | $1,862.09 |
United Setting Professional Modifier None Typical Low $25.12 Median $51.29 Typical High $123.03 | Professional | None | $25.12 | $51.29 | $123.03 |
9 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $8.51 Median $8.51 Typical High $14.13 | Facility | 52 · Reduced service | $8.51 | $8.51 | $14.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.47 Median $3.47 Typical High $5.62 | Facility | 53 · Discontinued | $3.47 | $3.47 | $5.62 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $2.57 Median $2.57 Typical High $4.17 | Facility | 55 · Aftercare only | $2.57 | $2.57 | $4.17 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1.74 Median $1.74 Typical High $2.82 | Facility | 56 · Pre-op care only | $1.74 | $1.74 | $2.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.51 Median $14.13 Typical High $112.20 | Professional | 52 · Reduced service | $8.51 | $14.13 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $5.62 Typical High $44.67 | Professional | 53 · Discontinued | $3.47 | $5.62 | $44.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.57 Median $4.17 Typical High $33.88 | Professional | 55 · Aftercare only | $2.57 | $4.17 | $33.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.74 Median $2.82 Typical High $22.39 | Professional | 56 · Pre-op care only | $1.74 | $2.82 | $22.39 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $15.14 Median $22.39 Typical High $35.48 | Professional | 51 · Multiple procedures | $15.14 | $22.39 | $35.48 |
Where Wisconsin sits
The same service costs 3.0 times more in Alaska than in Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Wisconsin· 2nd of 51
$61.66
AK $69.18VA $22.91
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.